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SAMPLING INFORMATION SHEET <br /> Client Ramage Environmental Sampling Date ' <br /> Site _ SJC Garage Project No <br /> 130 North Hunter street Well Designation <br /> Stockton <br /> OM <br /> Is setup of traffic control devices required? YES time hours <br /> Is there standing water in the well box? K3 YW Above TOC Below TOC <br /> Is top of casing cut level? NO If no, see remarks <br /> ' Is well cap scalcd and locked? -2 (/ NO If no,see remarks <br /> Height of well casing nser(in inches) <br /> Well cover type 8"or 12"W 12"EMCO 8"or 12"BK 8"Christy <br /> 12"Christy O"M&D C _ 12"M&D l2"DWP <br /> 12"CM 36"CNI 12"Pomeco Other <br /> Gencral condition of wellhead assembly 13xcellent _^ Good Fair Poor <br /> ' Purging Equipment 2" disposable bailer Submersible pump <br /> 2" PVC bailer Dedicated bailer <br /> 4"PVC bailer Centrifugal pump <br /> ' Sampled with Disposable bailer >f Teflon bailer Disposable Tubing <br /> Well Diameter 2" V-- " <br /> 4" 6" 8 <br /> Purge Vol Multiplier 0.16 065 1,47 2 61 galJft <br /> Initial Measurement Recharge Measurement <br /> Time !A Q Calculated purge- <br /> Depth <br /> urgeDepth of well M&9 � Depth to water y-9' Actual purge <br /> Depth to water _2�41 <br /> Start purge -� -' SainpIing time 0�6 <br /> I' <br /> Time Temperature BC pH Turbidity Volume <br /> q s zI 2 CI 11120 0-5- <br /> a <br /> Sample appearanceLock. <br /> Equipment replaced (check all that apply) Note condition of replaced itein(s) <br /> 2"Locking Cap Lock 7/32 Allenhead <br /> ' 4"Locking Cap bock-Dolphin 9/16 Bolt <br /> 6"Locking Cap: Pinned Allenhead (DWP) <br /> �kRemarks <br /> Signature <br />